Penobscot Community Health Center in Brewer - Federally Qualified Health Center (fqhc)
Penobscot Community Health Center - NPI 1841475712
Penobscot Community Health Center is a Federally Qualified Health Center (fqhc) in Brewer, Maine. Penobscot Community Health Center practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Penobscot Community Health Center is 1841475712. The last update date is 2018-08-06.
Penobscot Community Health Center's current location address is 735 Wilson St, Brewer, Maine. You can contact this provider via phone number 2079891567 and fax number 2079896889. The mailing address for Penobscot Community Health Center is 735 Wilson St, Brewer, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Penobscot Community Health Center |
|---|---|
| Address | 735 Wilson St, Brewer, Maine |
| Phone Number | 2079891567 |
| Fax Number | 2079896889 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Dwyer L. Lori |
| Credentials | ESQ. |
| Telephone Number | 2079929200 |
NPI Number Detail
| NPI Number | 1841475712 |
|---|---|
| Provider Enumeration Date | 2008-01-09 |
| Last Updated Date | 2018-08-06 |
Provider Mailing Address Detail
| Address | 735 Wilson St |
|---|---|
| City | Brewer |
| State | Maine (ME) |
| Post Code | 4412 |
| Phone Number | 2079891567 |
| Fax Number | 2079896889 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 131160200 | ME | -- | |
| 131160100 | ME | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Penobscot Community Health Center by the Centers for Medicare & Medicaid Services?
The Penobscot Community Health Center has been issued the NPI (National Provider Identifier) 1841475712. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Penobscot Community Health Center's facilities are situated?
The facilities of Penobscot Community Health Center are physically located at the following address: 735 Wilson St, Brewer, ME, 4412.
What is Penobscot Community Health Center's specialized field of practice, and what is the corresponding taxonomy classification code?
The Penobscot Community Health Center's area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.
On what date did the Penobscot Community Health Center receive its 1841475712 assignment from the Centers for Medicare & Medicaid Services?
The Penobscot Community Health Center was assigned its 1841475712 by the Centers for Medicare & Medicaid Services on 2008-01-09.
As of what date was the information regarding Penobscot Community Health Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Penobscot Community Health Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-08-06.
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